Individual provider Active NPI

Jessica Bradshaw Reinhardt, APRN

  • Nurse Practitioner
  • Jacksonville Beach, FL
National Provider Identifier
1396174843
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11014546 Issued in FL
Practice address
1370 13TH Ave S Ste 216
Jacksonville Beach, FL 32250-3206
Phone
(904) 247-7778
Fax
(904) 390-7389
NPI assigned
Nov 5, 2013
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11014546 FL Primary
Family Nurse Practitioner 363LF0000X RN205143 GA

Addresses

Primary practice location

1370 13TH Ave S Ste 216
Jacksonville Beach, FL 32250-3206

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Other practice location 1

1449 Brampton Ave
Statesboro, GA 30458-0854
Phone (912) 871-2900

Other practice location 2

1000B Veterans Blvd
Glennville, GA 30427
Phone (912) 654-4599

Other practice location 3

1000B Veterans Blvd
Glennville, GA 30427
Phone (912) 654-4599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.reinhardt.1@8824.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140402001306 GA Practitioner - Nurse Practitioner 1850522970
I20220110000026 FL Practitioner - Nurse Practitioner 1850522970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1370 13TH Ave S
Suite 216
Jacksonville Beach, FL 32250-3206
Phone (904) 247-7778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11014546FLMDNurse Practitioner
RN205143GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc CurrentSince Jan 3, 2022 Accepting new patients
Baptist Primary Care Inc Nurse Practitioner CurrentSince Jan 3, 2022 Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

1370 13th Ave S
Ste 216
Jax Bch, FL 32250
Phone (904) 246-8480

Interoperability endpoints

  • Direct secure messaging: jessica.reinhardt.1@8824.direct.athenahealth.com
  • Direct secure messaging: jessica.reinhardt@candlercounty.gadirect.net
  • Direct secure messaging: jreinhardt21010@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1396174843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S STE 216",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503206",
            "telephone_number": "904-247-7778",
            "fax_number": "904-390-7389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1449 Brampton Ave",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580854",
            "country_code": "US",
            "telephone_number": "912-871-2900",
            "fax_number": "912-871-2903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000B Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Glennville",
            "state": "GA",
            "postal_code": "30427",
            "country_code": "US",
            "telephone_number": "912-654-4599",
            "fax_number": "912-654-4648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000B Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Glennville",
            "state": "GA",
            "postal_code": "30427",
            "country_code": "US",
            "telephone_number": "912-654-4599",
            "fax_number": "912-654-4648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "JESSICA",
        "middle_name": "BRADSHAW",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014546",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN205143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.reinhardt.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1449 Brampton Ave",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304580854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.